Individual provider Active NPI

Michael Alan Schmidt, MD

  • Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1720027428
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17436 Issued in NE
Practice address
7111 A Street
Ste 100
Lincoln, NE 68510
Phone
(402) 484-5437
Fax
(402) 484-5438
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X 17436 NE
Clinical Genetics (M.D.) Physician 207SG0201X 17436 NE
Pediatrics Physician 208000000X 17436 NE Primary

Addresses

Primary practice location

7111 A Street
Ste 100
Lincoln, NE 68510

Mailing address

7111 A Street
Ste 100
Lincoln, NE 68510-4283
Phone (402) 484-5437

Other practice location 1

1001 S 70th St Ste 100
Lincoln, NE 68510-7901
Phone (402) 441-4760

Other identifiers 3

IdentifierTypeStateIssuer
00204OtherNEBCBS - SURGICAL ASSOC
100129760CMedicaidKS
47075078113MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000025 NE Practitioner - Pediatric Medicine 8921164328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17436NEMDClinical Cytogenetics Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1720027428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 A STREET",
            "address_2": "STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104283",
            "telephone_number": "402-484-5437",
            "fax_number": "402-484-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 A STREET",
            "address_2": "STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-484-5437",
            "fax_number": "402-484-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S 70th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685107901",
            "country_code": "US",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NE",
            "license": "17436",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NE",
            "license": "17436",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "17436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - SURGICAL ASSOC",
            "identifier": "00204",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129760C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075078113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.